FREE JIPMER PG Medical MCQ on 14 December 2016

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 DAILY FREE MCQ CHALLENGE for Medical PG Preparation

Question
A 64 years old male patient underwent hemorrhoidectomy under spinal anesthesia. The entire period of surgery was uneventful. Post-operatively the patient developed urinary retention and unable to pass urine for more than eight hours. Blood pressure – 140/90 mmHg, pulse rate – 88/min, SO2-99%, Temp – normal. Which among the following is the most appropriate drug to treat the retention of urine?

A. Bethanechol
B. Tolterodine
C. Oxybutynin
D. Pilocarpine

TIPSImportant Question from JIPMER 2015

Answer: A. Bethanechol
Explanation :

Note:

  • Oxybutynin, tolterodine, or similar agents may be used to reduce urgency in mild cystitis and to reduce bladder spasms after urologic surgery.
  • Pilocarpine is used in glaucoma due to its pupillary constrictor (miotic) action.
Reference: Page no: 104, Chapter: Drugs acting on ANS, KD Tripathi-Essentials of Medical Pharmacology/ 7e;  Cholinoceptor Blockers & Cholinesterase Regenerators. In: Trevor AJ, Katzung BG, Kruidering-Hall M. eds. Katzung & Trevor’s Pharmacology: Examination & Board Review, 11e. Reference link


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